ArticleFrontiers in public health2025
The impact of DRG payment reform on inpatient costs for different surgery types: an empirical analysis based on Chinese tertiary hospitals.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Inpatient medical costs and their composition among patients with stomach cancer who underwent surgery by tumor location: a hospital-based retrospective study in China.Cost effectiveness and resource allocation : C/E · 2026Article
- The Impact of DRG Review Teams on Obstetric Disease Management and Cost Control: A Variance Analysis Approach.The journal of obstetrics and gynaecology research · 2026Article
- Impact of diagnosis-intervention packet payment reform on pediatric hospital services: an interrupted time series analysis.BMC health services research · 2026Article
- The Impact of DRG Payments on Nutritional Therapy Costs for Gastric Cancer Surgery Patients.Healthcare (Basel, Switzerland) · 2026Article
- The differential impact of Diagnosis-Related Groups (DRG) on hierarchical hospitals: an interrupted time series analysis on health expenditure structure.BMC health services research · 2026Article
- The effect of diagnosis-related group policy on treatment cost and treatment efficiency of inpatients with coronary heart disease in Xinjiang: an interrupted time series analysis.Journal of global health · 2026Article
- From individual burden to social risk pooling: drivers of the declining out-of-pocket health expenditure share in China (2009-2024).International journal for equity in health · 2026Article
- DRG-based payment and governance in high-complexity thoracic surgery: implications for efficiency and care delivery.Frontiers in health services · 2026Article
- Impact of diagnosis-related group-based bundled payment on hospitalization costs and clinical outcomes in total hip arthroplasty: an interrupted time series analysis from Wenzhou, China.Frontiers in public health · 2026Article
- Exploratory segmentation of selected cardiovascular hospital services in Chile using DRG-based normalized indicators.Frontiers in health services · 2026Article
- Trends and determinants of hospitalization costs for umbilical hernia: a 13-year retrospective analysis from 2012 to 2024.Frontiers in surgery · 2026Article
- High-magnification inpatient cases under DIP payment reform: prevalence, cost burden, and risk factors in an NHC-administered hospital in China.Frontiers in public health · 2026Observational
- Changes in neonatal inpatient resource utilization and cost drivers under payment reform: a five-year retrospective real-world data study.Frontiers in pediatrics · 2026Article
- Predicting 30-day readmission using DRG-based hospitalization data: a large real-world logistic regression model from a tertiary hospital.Frontiers in public health · 2026Article
- The impact of DRG payment reform on stroke inpatient costs: a propensity score matching and difference-in-differences analysis of a large public hospital in Northeast China.BMC public health · 2025Article
- DRG payment does not predispose to negative clinical outcomes in general surgery cases: evidence from a tertiary hospital in China.Frontiers in public health · 2025Article
- Indonesian Patients' Experiences and Emotional Attachment to Healthcare Services Abroad: A Qualitative Study.Patient preference and adherence · 2025Article
- The impact of a deep vertical medical alliance on enhancing clinical capacity and reversing patient outflow at a Chinese county hospital: a 4-year case study.Frontiers in health services · 2025Article
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6 authors.
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Abstract
Background: To evaluate the impact of DRG (Diagnosis-Related Group) payment reform on inpatient costs for four major types of surgery at a tertiary hospital in China, with a focus on its implementation in general surgery, cardiothoracic surgery, neurosurgery, and urology. Methods: Based on inpatient data from 2019 to 2023, the study employed Propensity Score Matching (PSM) and Difference-in-Differences (DiD) models to compare inpatient cost differences between the DRG payment group and the non-DRG payment group. Concentration indices were used to assess the consistency of inpatient cost distribution. Results: The DRG payment reform significantly reduced the total inpatient costs for surgeries in general surgery, cardiothoracic surgery, neurosurgery, and urology, particularly in terms of drug and material expenses. Additionally, the inpatient cost distribution in the DRG payment group became more concentrated, indicating a significant reduction in the proportion of high-cost cases. Conclusion: The DRG payment reform effectively controlled inpatient costs in Chinese tertiary hospitals, particularly for complex surgical procedures, and improved the efficiency of healthcare resource utilization. This study provides empirical support for the further implementation of DRG payment reform and offers policy recommendations for optimizing China's healthcare payment system.
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